Laserfiche WebLink
APPLICATIC J FOR CONSTRUC7 _JN PERMIT /N� <br /> r/ <br /> TO BE COPdPLETED IN BLACK INK—PLEASE PRINT `� <br /> 'sG3o U <br /> BUILDING DEPARTMENT HEATING SYST[M��j G�S J ELECTRIC J_ _ � <br /> 259-C910 <br /> DEMOLITION COh7BINATION BUILDING �MECHANICAL PLUMBING SICH <br /> ow,:EA���c `� Slu.��,`���ssI�U3� 10�"������i �C, 6�'�+ `l4 �� �y7-9oo�n <br /> � <br /> iENANi -�M1AOORESS GIIY IIP CNOVE <br /> 11 � � <br /> POGI�IIELiOlICCSIGNCR MRILROORE55 CIIY ZIP PNONE <br /> �� �1 <br /> GF1ffMtCONifl�CLOq iA4RA00PE55 CILY IIP PNQYE SiA[IIGENSE• <br /> n � r� <br /> M[C1A`uCALCOMMLiOR MPRAOOH �^ LRY Lie FHINIE SiAtEL.CEN]E• <br /> n���� �ilo �-�� ii Ar� �v+ �)&�o� ���,si rk��>,Whio=x_� <br /> PW1f0:Nf.CONiPRCIDl1 1!�`MARF(O�OPESS( CRY 3iC PMONE SiP1EULENSE� <br /> �Q17\{� �W I 11�\.�' �l'�ILQ � <br /> i .;sorvionv <br /> NEW AO�ITION ALTERATION flEPAIP DEh70LITION WOO�STOVEFRPLINSERT BWIDINGRELOCA710N <br /> �fq (� mrrtncr aFnsorv avo wroxc No <br /> cnnnincrrrncccrvmnx [�6��[, I�.U� <br /> oesrn ee won.um:�uaAc roouee wvo�vco <br /> Ti 1 �,I 1�.�Q_ G E�S �u r rL_�). N <br /> vi�ovoseouscor mmwc I HERE�Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> ��,� APPUCATION AND KNOW TFL SAME TO BE TRUE AND CORRECT.ALL <br /> i¢e��oEscaivnoxoFrnoe6n*vis¢rrme6�owonenecHrounccriesi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORN WILL 6E COMPLETED WITH VlHETHER SPECIFIED HEREIN OR <br /> m* oixx__or NOT. THE GRANTING OF A PEfiM1T DOES NOT PRESUTAE TO G�VL <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER ST�TE OR LOCAL LA\'J REGULATING CONSTHIICTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I Ah7 AUTHORIZED BV THc <br /> OWNER OF Th115 PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTflACTORS LAW iB27 RCW AND 296200 WAC. <br /> _ x r�[�GIU /�cC1.a,��i-.U� 1% l 7��J ��— <br /> PIiOJFCi At)CRLS '••"•`•� �t <br /> 'h <br /> nL O-'— -- - <br /> PLUMUING MECMANICAL�� <br /> t10. TVPE OF FIXTUfiE OR ITEIA FEE NO. TYPE OF EOUIPM1tENT FEE <br /> WATER CLOSET�TO:LET� tiC—A HNDLG UNITS—N.P <br /> DATHTUB FORCEDM1IRS�STEMS—B.TU. Id E.A _ <br /> LAVATORV�WASHBASIN) UNITHEATER$—Bi.U. A7 _ <br /> SHOWER CLOiHES�RYERS <br /> KITCHEN SINK 8�ISP VENTILATION FAN <br /> —� <br /> DISHWASHER RANGE MOOD <br /> LAUNORYTRAY WATEH MEATEF _ <br /> C�OTHES WASHER WOOD STOVE <br /> URINAL METAL FlREFLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> F�OOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> ROOF DRAINS—FAINLEADERS E%HAUST FAN <br /> SIYN(SERVICE—BAR,ETC.) ' <br /> SUB TOTAL 5 SU�TOTAL 5 rjO�UO <br /> PERUIT 5 PEflldlT 5 �j�OU <br /> TOTALFEE S TOTALFEE S � 'GG <br /> FOR OFFICE USE ONLY: <br /> ffiON!$LiDACN f1ERR5Ei�ACM $IOESEiBALR f�RNCMECNYUTA�EP ifE RFCE��1110 <br /> ussZowE �ornnEe vncnraSrtE FEES VALOATIOH FEE <br /> 60RDWG <br /> h�EO�tOHISALLGNNBI[ OMOVCDNSIF[Net asu��nn wbvnamnsv.-s -- <br /> �90" PWM9�N�3 <br /> 52E W 9La NO.OFSiOFIES 9�5[RIEM M1�ECNANICAL <br /> WNPNICYL040 FIRESVPNNLENSPEO� HEIGIRLiPIpOON AD�RIONdLPIANCNECN <br /> _ SPPINKLEH <br /> 0[AW!IiOPSfqiNxlGPS -- -�- <br /> STAiE OUII.DiNG SURCHARGE <br /> -•:�>vrm �urvsevanoveoov I CITYOFEVEBETT puBUCWORrcS '� <br /> ILOCALSALES � <br /> TAX COQEIS 3105 rora� <br />